BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KANGAROO NASOGASTRIC TUBE

    MDR report key: 3522887 · Received November 25, 2013

    Report

    Report Number
    3522887
    Event Type
    Injury
    Date Received
    November 25, 2013
    Date of Event
    October 24, 2013
    Report Date
    November 25, 2013
    Manufacturer
    COVIDIEN
    Product Code
    KNT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NG TUBE INSERTED TO ALLOW FOR FEEDING. CONFIRMING CHEST X-RAY INDICATED NGT IN THE RIGHT TRACHEOBRONCHIAL TREE TO THE RIGHT PLEURAL SURFACE. IT ENDED POSSIBLY BELOW THE DIAPHRAGM IN A DEEP LATERAL PLEURAL SULCUS. NGT REPLACED AND CONFIRMING CHEST X-RAY SHOWED NGT IN STOMACH SMALL RIGHT PNEUMOTHORAX SUSPECTED. PT STARTED ON REBREATHING MASK. X-RAY (B)(6) 2013 SHOWED RIGHT APICAL PNEUMOTHORAX. CHEST X-RAY (B)(6) 2013 SHOWED PNEUMOTHORAX RESOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    612679 KANGAROO NASOGASTRIC TUBE NONE KNT COVIDIEN 8884-720858 8FR 43"

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention